| Hyannis Dental Group Professional | |
|
17 School St Hyannis MA 02601-3117 | |
| (774) 470-2876 | |
| (774) 470-6191 |
| Full Name | Hyannis Dental Group Professional |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 17 School St, Hyannis, Massachusetts |
| Authorized Official Name and Position | Janet Neff (OFFICE MANAGER) |
| Authorized Official Contact | 7744702876 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hyannis Dental Group Professional 17 School St Hyannis MA 02601-3117 Ph: (774) 470-2876 | Hyannis Dental Group Professional 17 School St Hyannis MA 02601-3117 Ph: (774) 470-2876 |
| NPI Number | 1962990820 |
|---|---|
| Provider Enumeration Date | 04/26/2018 |
| Last Update Date | 04/26/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962990820 | NPI | - | NPPES |
| 110008422A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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